RecordWell Data

Starr Resiliency Agency

None, None, TX

48cited violations
8serious
102inspections & investigations
2enforcement actions

Program

Type
General residential operation
Licensed capacity
12
Ages
5-17
Hours
12:00 AM-
Director / administrator
Octavia Cabelle Reed
Phone
(254) 262-9193
Regulated since
Jul 4, 2023
HHSC IDs
Operation 1400769 · number 1738202
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
202620 Illness & medication (1), Supervision & ratios (1)
202551 Safety & premises (1), Staff background & training (2), Records & paperwork (2)
2024326 Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (13), Discipline & child guidance (1), Safety & premises (3), Staff background & training (7), Records & paperwork (6)
202391 Illness & medication (1), Supervision & ratios (6), Records & paperwork (2)

Enforcement actions

HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.

Inspections, investigations & assessments

  1. Sep 17, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  2. Sep 10, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  3. Sep 2, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  4. Aug 19, 2026 Inspection

    No violations cited on this visit.

    HHSC inspection history

  5. Jul 24, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  6. Jul 2, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  7. Jun 25, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  8. Jun 17, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  9. May 15, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  10. May 1, 2026 Assessment · Deficiencies cited
    • Supervision & ratios

      The operation did not report EBI date for the first quarter of 2026 within appropriate time frames.

      HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.

      HHSC risk weight: Medium. Corrected 2026-05-08. Correction verified 2026-05-04.

    HHSC inspection history

  11. Apr 24, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  12. Apr 22, 2026 Inspection · Deficiencies cited
    • Illness & medication

      During the inspection three serious incident reports were found not to have been reported to licensing.

      HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization

      HHSC risk weight: Medium High. Corrected 2026-04-23. Correction verified 2026-04-23.

    HHSC inspection history

  13. Feb 26, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  14. Feb 13, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  15. Feb 6, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  16. Jan 20, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  17. Jan 15, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  18. Jan 8, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  19. Dec 17, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  20. Dec 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  21. Dec 13, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  22. Dec 3, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  23. Dec 1, 2025 Report · Deficiencies cited
    • Safety & premises Serious

      A child in care who had recently been discharged from an inpatient mental institution due to self-harming behaviors was permitted access to a bedroom with a known safety hazard. The bedroom door had a broken doorknob that locked when closed, preventing staff from gaining immediate access to the room. While staff were locked out and unable to supervise or intervene, the child self-harmed.

      HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety

      HHSC risk weight: High. Corrected 2026-01-05. Correction verified 2026-01-20.

    HHSC inspection history

  24. Nov 14, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  25. Nov 6, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  26. Oct 25, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  27. Oct 8, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  28. Oct 7, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  29. Oct 7, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  30. Oct 1, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  31. Aug 21, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  32. Jun 26, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  33. Apr 22, 2025 Inspection · Deficiencies cited
    • Staff background & training

      During the review of records 2 staff records did not have the pre-employment affidavit and the pre-employment screening assessment was not filled out.

      HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records

      HHSC risk weight: Medium. Corrected 2025-04-25. Correction verified 2025-04-22.

    • Records & paperwork

      An incident involving a child being arrested was not reported to licensing.

      HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-04-22.

    • Staff background & training

      During a records review two staff records did not have a copy of a TB test on file.

      HHSC 748.363(6) — Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.

      HHSC risk weight: Medium. Corrected 2025-04-25. Correction verified 2025-04-22.

    HHSC inspection history

  34. Mar 25, 2025 Inspection · Deficiencies cited
    • Records & paperwork

      During a records review, two staff files reviewed did not have the notarized Licensing Affidavit for Applicants for Employment form.

      HHSC 748.363(7) — Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059

      HHSC risk weight: Medium. Corrected 2025-03-28. Correction verified 2025-03-28.

    HHSC inspection history

  35. Feb 25, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  36. Feb 22, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  37. Feb 4, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  38. Feb 4, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  39. Jan 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  40. Jan 1, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  41. Dec 30, 2024 Report · Deficiencies cited
    • Supervision & ratios

      Caregiver responsibilities were not met when the operation was unaware they left a child?s only inhaler at the school for an unknown amount of time. The child is diagnosed with asthma and this specific need must always be readily available to the child in case of an emergency.

      HHSC 748.685(c)(1) — Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision

      HHSC risk weight: Medium High. Corrected 2025-01-31. Correction verified 2025-02-04.

    HHSC inspection history

  42. Dec 12, 2024 Report · Deficiencies cited
    • Discipline & child guidance Serious

      This standard was found deficient as part of a DFPS Investigation.

      HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

      HHSC risk weight: High. Corrected 2025-02-19. Correction verified 2025-02-25.

    • Safety & premises

      A nighttime direct care staff member admitted stepping outside the front door of the children's living area to use a vaporizer while the children are asleep.

      HHSC 748.1661(c) — Tobacco Products-Adult may only smoke tobacco products, e-cigarettes, or vaporizers on premises at a safe distance from child living area

      HHSC risk weight: Medium High. Corrected 2025-02-19. Correction verified 2025-02-25.

    • Supervision & ratios Serious

      A direct care staff was found asleep and admitted to being asleep at night with the home unlocked.

      HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

      HHSC risk weight: High. Corrected 2025-02-19. Correction verified 2025-02-25.

    HHSC inspection history

  43. Dec 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  44. Dec 6, 2024 Report · Deficiencies cited
    • Records & paperwork

      No witness children were noted in the incident report.

      HHSC 748.311(5) — Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any

      HHSC risk weight: Medium. Corrected 2025-01-10. Correction verified 2025-01-10.

    • Supervision & ratios

      The operation was given a deadline for sending records by 12/20/2024 at 5PM. Records were not sent and received until 12/23/2024.

      HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction

      HHSC risk weight: Medium. Corrected 2025-01-10. Correction verified 2025-01-10.

    HHSC inspection history

  45. Dec 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  46. Dec 5, 2024 Report · Deficiencies cited
    • Cleanliness & sanitation Serious

      Five children interviewed stated that a caregiver threatened that a child/children could not eat dinner unless the child/children took a shower.

      HHSC 748.1101(b)(4)(A)(iv) — Children's rights-Free from being denied food, sleep, a bathroom, mail, or family visits as punishment

      HHSC risk weight: High. Corrected 2024-12-27. Correction verified 2025-01-13.

    HHSC inspection history

  47. Nov 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  48. Nov 7, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  49. Oct 30, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  50. Oct 26, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  51. Aug 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  52. Aug 22, 2024 Assessment · Deficiencies cited
    • Staff background & training

      Follow up was not provided by the original compliance of 7/12/2024.

      HHSC 748.1209(b)(6) — Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint

      HHSC risk weight: Medium High. Corrected 2024-08-22. Correction verified 2024-08-23.

    • Staff background & training

      Follow up was not provided by the original compliance of 7/12/2024.

      HHSC 748.1211(a) — Parent Orientation - At admission you must provide certain policies to the parent placing the child

      HHSC risk weight: Medium High. Corrected 2024-08-22. Correction verified 2024-08-23.

    • Safety & premises

      Follow up was not provided by the original compliance of 7/12/2024.

      HHSC 748.1433(a)(1) — Discharge-Involve in planning child's non-emergency discharge or transfer at least one of the child's current caregivers

      HHSC risk weight: Low. Corrected 2024-08-22. Correction verified 2024-08-23.

    • Supervision & ratios

      The follow up was not provided by the original compliance date of 7/12/2024.

      HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number

      HHSC risk weight: Medium. Corrected 2024-08-22. Correction verified 2024-08-23.

    • Records & paperwork

      Follow up was not provided by the original compliance of 7/12/2024.

      HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction

      HHSC risk weight: Medium. Corrected 2024-08-22. Correction verified 2024-08-23.

    HHSC inspection history

  53. Aug 14, 2024 Report · Deficiencies cited
    • Supervision & ratios Serious

      A staff member of the operation did not have a pre-employment drug screening.

      HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access

      HHSC risk weight: High. Corrected 2024-10-18. Correction verified 2024-11-12.

    • Staff background & training

      The operation's administrator stated the records for EBI written test gets shredded and that the operation does not keep record of them, therefore, there is no record showing the staff member took a written test.

      HHSC 748.941(c)(3)(A) — Training Criteria- Training must require each participant to demonstrate knowledge and competency of the EBI training material in writing.

      HHSC risk weight: Medium High. Corrected 2024-10-18. Correction verified 2024-11-12.

    HHSC inspection history

  54. Aug 5, 2024 Report · Deficiencies cited
    • Supervision & ratios

      The incident report was not consistent with the interviews of staff regarding the incident that occurred.

      HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records

      HHSC risk weight: Medium. Corrected 2024-09-09. Correction verified 2024-09-12.

    • Supervision & ratios

      It took the operation eight days to provide requested documentation.

      HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction

      HHSC risk weight: Medium. Corrected 2024-09-09. Correction verified 2024-09-05.

    HHSC inspection history

  55. Aug 2, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  56. Jul 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  57. Jul 29, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  58. Jul 28, 2024 Report · Deficiencies cited (self-report)
    • Staff background & training Serious

      A Direct Care Staff is currently working at the operation without an approved background check. The staff's background check was ran on 7.26.24. The staff was present during an incident on 7.27.24. The background check has not been completed as of 8.15.24. Additionally, it was found the staff worked 8.11.24 and is scheduled for 8.16.24.

      HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation

      HHSC risk weight: High. Corrected 2024-09-05. Correction verified 2024-09-05.

    • Records & paperwork

      A child's room was searched, however, there was no documentation completed.

      HHSC 748.1117 — Documentation of searches-Caregiver documents searches in the child's record

      HHSC risk weight: Medium Low. Corrected 2024-09-10. Correction verified 2024-09-12.

    • Supervision & ratios

      The information documented in the serious incident report did not align with the information gathered from interviews with children and staff.

      HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records

      HHSC risk weight: Medium. Corrected 2024-09-10. Correction verified 2024-09-12.

    • Records & paperwork

      The parent of a child with sex trafficking history was not made aware immediately of the child's unauthorized absence. The child eloped at 6:19PM and the parent was not notified until 7:31PM.

      HHSC 748.303(a)(10)(B) — Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older.

      HHSC risk weight: Medium. Corrected 2024-09-10. Correction verified 2024-09-12.

    • Records & paperwork

      The documentation did not include the time and date when the children's parents and the relevant law enforcement agency were notified. Furthermore, there was no record of the names of the individuals contacted.

      HHSC 748.313(3)(B) — Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return

      HHSC risk weight: Medium. Corrected 2024-09-10. Correction verified 2024-09-12.

    • Supervision & ratios

      A child in care with sex trafficking history was allowed outside without supervision. The service plan specifically documents the child requires "visual and auditory" supervision while at the operation. Additionally, it documents the child has a "history as a victim of sex trafficking", which "makes her more susceptible to elopement and unsafe sexual activities."

      HHSC 748.685(c)(6) — Implement and follow the children's service plans.

      HHSC risk weight: Medium. Corrected 2024-09-10. Correction verified 2024-09-12.

    HHSC inspection history

  59. Jul 2, 2024 Inspection · Deficiencies cited
    • Staff background & training Serious

      Background checks for two employees were not conducted by the operation.

      HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone

      HHSC risk weight: High. Corrected 2024-07-08. Correction verified 2024-08-23.

    • Staff background & training

      Two out Three childrens records reviewed were missing several policy components to include the emergency behavior interventions.

      HHSC 748.1209(b)(6) — Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint

      HHSC risk weight: Medium High. Corrected 2024-07-12. Correction verified 2024-08-22.

    • Staff background & training

      Three children's records did not have a parent orientation.

      HHSC 748.1211(a) — Parent Orientation - At admission you must provide certain policies to the parent placing the child

      HHSC risk weight: Medium High. Corrected 2024-07-12. Correction verified 2024-08-22.

    • Safety & premises

      The discharge summary record for a child was not filled out. It was also missing singnatures for all parties that should of been involved.

      HHSC 748.1433(a)(1) — Discharge-Involve in planning child's non-emergency discharge or transfer at least one of the child's current caregivers

      HHSC risk weight: Low. Corrected 2024-07-12. Correction verified 2024-08-22.

    • Illness & medication

      The medication log for a child is missing the medication dosage and time administered.

      HHSC 748.2151(c)(4) — Medication record - must include medication name, strength and dosage

      HHSC risk weight: Medium High. Corrected 2024-07-12. Correction verified 2024-08-23.

    • Supervision & ratios

      All four incident Reports reviewed did not include the telephone number of the operation.

      HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number

      HHSC risk weight: Medium. Corrected 2024-07-12. Correction verified 2024-08-22.

    • Supervision & ratios

      The operation was not able to provide the emergency drill records during the inspection.

      HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction

      HHSC risk weight: Medium. Corrected 2024-07-12. Correction verified 2024-08-22.

    HHSC inspection history

  60. Jun 20, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  61. Jun 16, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  62. Jun 13, 2024 Report · Deficiencies cited
    • Supervision & ratios

      Documentation was requested 3 times within a 3-week period from the operation.

      HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction

      HHSC risk weight: Medium. Corrected 2024-07-31. Correction verified 2024-07-23.

    HHSC inspection history

  63. Jun 12, 2024 Report · Deficiencies cited
    • Records & paperwork

      RCI had to request documents multiple times within a three-week period before receiving documents.

      HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction

      HHSC risk weight: Medium. Corrected 2024-08-23. Correction verified 2024-08-23.

    HHSC inspection history

  64. Apr 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  65. Mar 27, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  66. Jan 24, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  67. Jan 16, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      The operation failed to submit a corrective action plan addressing compliance for not submitting records to RCCR until five days after the original request date, despite RCCR sending multiple reminders.

      HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction

      HHSC risk weight: Medium. Corrected 2024-01-19. Correction verified 2024-02-01.

    HHSC inspection history

  68. Nov 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  69. Oct 31, 2023 Report · Deficiencies cited
    • Supervision & ratios

      On 11/03/2023, during the in-person investigation records were requested but told that they would be provided via email and sent to the RCCL Inspector. On 11/15/2023, an email was sent to the operation requesting records and that they needed by the end of the day on 11/17/2023. On 11/16/2023, due to not receiving a reply from my previous document request a reminder email was sent requesting that the document be provided by the end of the day on 11/17/2023. On 11/17/2023, another email was sent to the operation stating that documents had not yet been received and for them to be provided. On 11/20/2023, documents were provided by the operation.

      HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction

      HHSC risk weight: Medium. Corrected 2024-01-12. Correction verified 2024-01-16.

    HHSC inspection history

  70. Oct 27, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  71. Oct 22, 2023 Report · Deficiencies cited
    • Records & paperwork

      Records/Documentation was requested 2 times by an investigator and 1 time by a licensing supervisor. It was initially requested on the October 27th, and it was not sent until November 14th at approximately 10:51 PM.

      HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction

      HHSC risk weight: Medium. Corrected 2023-12-15. Correction verified 2023-12-14.

    HHSC inspection history

  72. Oct 20, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  73. Oct 18, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  74. Aug 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  75. Aug 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  76. Aug 9, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      A child in care who was admitted to the operation despite being outside of the licensed age range.

      HHSC 748.1203(a) — Admission-Operation may only admit children and young adults who meet admission policy and whose needs can be met at the operation

      HHSC risk weight: Medium. Corrected 2023-08-16. Correction verified 2023-08-19.

    HHSC inspection history

  77. Aug 9, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      It is found after the review of the incident report that the incident occurred on 08/08/23 and the child in care left the operation at 7:27pm. It was reported to licensing on 8/09/23 at 12:01pm. This reporting to licensing is not in the required time frame.

      HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.

      HHSC risk weight: Medium. Corrected 2023-09-29. Correction verified 2023-10-04.

    HHSC inspection history

  78. Jul 11, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  79. Jul 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  80. Jun 23, 2023 Report · Deficiencies cited
    • Records & paperwork

      Multiple children in care reported staff threatening to send children to a "mental hospital" even when there were times where a child's behaviors did not warrant such hospitalization.

      HHSC 748.1101(b)(4)(A)(vi) — Children's rights- To be free from being threatened with the loss of placement or shelter as punishment

      HHSC risk weight: Medium. Corrected 2023-09-01. Correction verified 2023-09-26.

    • Supervision & ratios

      Records were requested on 7/3, 8/2, 8/3, and 8/4. Partial records were received on 8/3. An inspection to the operation was conducted on 8/18 where 4 service plans were obtained; however incident reports being requested were not in the child's files. Licensing was informed that incident reports may have been scanned into the operation's electronic system. Those incident reports were requested to be sent to Licensing by end of the day on 8/18. The incident reports were never received.

      HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction

      HHSC risk weight: Medium. Corrected 2023-09-01. Correction verified 2023-09-26.

    HHSC inspection history

  81. May 16, 2023 Inspection · Deficiencies cited
    • Illness & medication Serious

      Insulin was found unsecured in the refridgerator.

      HHSC 748.2101(1) — Medication Storage-Store medication in a locked container

      HHSC risk weight: High. Corrected at inspection. Corrected 2023-05-16.

    HHSC inspection history

  82. May 4, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  83. May 3, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      This operation did not report the 1st Quarter (January-March) EBI numbers as required despite several reminders by the RCCR Inspector via email to the operation on 4/18/23, 5/1/23 and 5/2/23.

      HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.

      HHSC risk weight: Medium. Corrected 2023-05-05.

    HHSC inspection history

  84. Apr 28, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  85. Apr 28, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  86. Apr 27, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  87. Apr 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  88. Mar 29, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  89. Mar 29, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  90. Mar 11, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  91. Mar 11, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  92. Mar 10, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  93. Mar 6, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  94. Feb 5, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  95. Jan 20, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  96. Jan 19, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  97. Jan 17, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      At the time the case was called in, the operation had 5 girls in placement and was only licensed to take boys. The operation now has a new permit allowing placement of both boys and girls.

      HHSC 748.1203(a) — Admission-Operation may only admit children and young adults who meet admission policy and whose needs can be met at the operation

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-01-20.

    HHSC inspection history

  98. Dec 1, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  99. Oct 3, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  100. Sep 1, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  101. Jun 30, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  102. May 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

Get the full file

HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.

Email the request Printable letter (fax or mail)

Send to
HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text

If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.

Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.